Individual
KACIE RENAE SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
Mailing address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17371
OK
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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